11D2263283 CLIA NUMBER - EMERALD EMT, LLC

Laboratory Demographics

  • CLIA Code: 11D2263283
  • Facility Name: EMERALD EMT, LLC
  • Facility Address: 2215 NEW ROAD
    SANDERSVILLE, GA
    ZIP 31082
  • Facility Phone: 478 290-3871
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID L. TAPLEY
  • NPI Number: 1689397879
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2263283
LAB Type Ambulance
Facility Name EMERALD EMT, LLC
Street 2215 NEW ROAD
City SANDERSVILLE
State GA
ZIP 31082
Phone 478 290-3871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Ambulance
Lab Director DAVID L. TAPLEY

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This page was last updated on: 9/29/2025